DR. MAHMOUD LOGHMAN-ADHAM (NPI# 1043594120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043594120 |
| Entity Type | Individual |
| Full Name | DR. MAHMOUD LOGHMAN-ADHAM |
| Credential | M.D. |
| Practice Address |
340 Kingsland St Nutley NJ 07110-1150 |
| Practice Telephone | 9735622127 |
| Practice Fax Number | 9086471082 |
| Mailing Telephone | 9735622127 |
| Mailing Fax Number | 9086471082 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
176291-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
25MA07629100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
340 KINGSLAND ST |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053584185 | Jacob Zeffren | Internal Medicine | 340 Kingsland St, Nutley, NJ 07110-1150 | 2008-04-09 |
| 1972135077 | Christina Marie Gambino | Specialist/Technologist | 340 Kingsland St, Nutley, NJ 07110-1150 | 2020-02-06 |
| 1548727977 | Raymond Richards | Specialist/Technologist | 340 Kingsland St, Nutley, NJ 07110-1150 | 2019-02-21 |
| 1134489487 | Thomas Peter Bridge | Psychiatry & Neurology | 340 Kingsland St, 1 4c40, Nutley, NJ 07110-1150 | 2012-05-21 |
| 1205087434 | David Martin Musselman | General Practice | 340 Kingsland St, Nutley, NJ 07110-1150 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815968 | St. Luke's Warren Physician Group, PC | Pediatrics | 755 Memorial Pkwy Ste 207, Phillipsburg, NJ 08865-2773 | 2020-03-09 |
| 1053639492 | Maria Josefina Sharma | Pediatrics | 63 Central Avenue, Passaic, NJ 07055 | 2010-05-10 |
| 1740825215 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1225469489 | Valeriya M Feygina | Pediatrics | 89 French St Fl 2, New Brunswick, NJ 08901 | 2013-12-12 |
| 1932365400 | Joann Carlson | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-08-04 |
| 1306968078 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-04-04 |
| 1154462687 | Abraham Aviv | Pediatrics | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2007-02-09 |
| 1508935248 | Constancia Somera Uy | Pediatrics | 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 | 2006-11-07 |
| 1215022231 | Children's Healthcare Associates of New Jersey PC | Pediatrics | 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 | 2006-10-04 |
| 1457469348 | Rutgers Health-rwj Pediatric Nephrology | Pediatrics | 89 French Street, Suite 2300, New Brunswick, NJ 08901 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.